| NPI | 1780112094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A191809) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0067036) |
| 207Q00000X Family Medicine (Licence: TX S5868) | |
| 207Q00000X Family Medicine (Licence: UT 13078017-1205) | |
| 207Q00000X Family Medicine (Licence: AZ 68241) | |
| 207Q00000X Family Medicine (Licence: IL 036.162671) | |
| 207Q00000X Family Medicine (Licence: HI MD-21317) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2026-01-11 |